腰椎后外侧融合术在腰椎退变性疾患手术中应用的再认识  

Application of lumbar posterolateral fusion for lumbar degenerative diseases

作　　者：郑燕平 周超 ZHENG Yanping;ZHOU Chao(Department of Spinal Surgery, Qilu Hospital of Shandong University(Qingdao), Qingdao 266035, Shandong, China)

机构地区：[1]山东大学齐鲁医院(青岛)脊柱外科

出　　处：《山东大学学报（医学版）》2019年第5期18-22,共5页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金(81572215)

摘　　要：腰椎后外侧融合术是腰椎手术中常用的融合技术,因腰椎后外侧解剖结构的特点、横突间植骨后力学特点、骨床制备工具和内固定技术的限制,早期植骨融合率受到一定的影响。腰椎后外侧融合技术被后来开发的融合技术所替代。随着不同手术入路选择、手术技术提高、先进工具使用、植骨材料发展及内固定的合理应用,腰椎后外侧融合技术被重新应用于腰椎退变性疾患手术中并取得良好的植骨融合率。但腰椎后外侧融合技术在治疗腰椎不稳、椎体滑脱或多节段腰椎退变疾患中的生物力学特点和临床疗效,仍需要进一步研究。Lumbar posterolateral fusion ( PLF) has been commonly used in lumbar surgery. In the previous years, due to the characteristics of posterolateral anatomy, mechanics of intertransverse fusion and deficiency of bone graft tools and internal fixation, the fusion rate was impaired and lumbar PLF was gradually replaced by other fusion techniques.Currently, along with the emergence and development of various operative approaches, surgical skills, advanced tools, bone graft materials, and internal fixation techniques, PLF is reused in the treatment of lumbar degenerative diseases and has achieved satisfactory fusion ratio. However, more remains to be done to explore the biomechanical characteristics and clinical effects of lumbar PLF when it is used in the treatment of lumbar vertebral instability, lumbar spondylolisthesis and multi-segment lumbar degenerative diseases.

关 键 词：腰椎融合 腰椎后外侧融合 腰椎退变性疾患 

分 类 号：R681.5[医药卫生—骨科学]